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CORDF CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A IHATrER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: U the certitlaate holder Is an ADDITIONAL INSURED, the pollCy(los) must be endorsed. If SUBROGATION IS WANED, subjed to <br />the torrrla and conditions of the policy, certain poileles may require an endorsement. A statement on this Certificate does not confer rights to the <br />certificate holder In lieu of such sndoreemen s . <br />PROOLIM <br />Van Bourdon Ina. go", Ina. - Xinguburg <br />PO Box 67 <br />ringeburg CA 93631 <br />AL Jemetta eeinrLchs <br />P NE <br />1zl, 897-2975 °: 5591 097-4070 <br />YAIL <br />ADO <br />PMRERM AFFORMS COVERAGE <br />NAIDA <br />INSURER A: NY hating a coastal Ina Co <br />16600 <br />He <br />Peat aE Options, Ins. <br />DISURBRD:Pa118 Lake Piro A COBus1tY Co ---- -- <br />15804 <br />auRERC:8tar8EOGa National Ina Co. <br />25496 <br />P.O. Box 5827 <br />OSURBR0: <br />D?6URERE: <br />Orange CA 92063 <br />MURBRF <br />--------�-------1------ -- - - - - - ..�.........,..,....�... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPe OPP18URANC@ <br />Mw <br />CoxPOUCYNUNBER <br />VwDDJYMIE� <br />LYARB <br />OENBRA4 LIABILITY <br />EACH OCCURRENCE <br />S 11000,006 <br />A <br />X CO ANDICUL GENERAL UWSUTY <br />CWMS ••"'1i OO OCCUR <br />PX202000009523 <br />01/22/2020 <br />01/22/202 <br />(_ <br />MED ExP Argaq WI <br />i 100 00a <br />a 5 000 <br />PERSONALaADVDIMY <br />i 11000 000 <br />X BI/PD Dedl 1,000 <br />E <br />Pest./Berb.gnd. <br />OENEWAGGREGATE <br />S 21000,000 <br />GENL AGOREOATE UMRAPPUE9 PER: <br />E POLICY PRO' LOC <br />PRODUCTS-COIPIOPMiG <br />4 2,000.000 <br />f <br />AUTOMO66S MULITY <br />ANY AUTO <br />A OaNJED BBC IHOEBULm <br />BODILVWAIRY(Porp ) <br />S <br />BODAYIRRAW ObraLftlgtll <br />i <br />19REDAVTOG �® <br />PROP <br />= <br />S <br />C <br />1 <br />tRIBRELLAWB <br />[I <br />OCCUR <br />759141206ALI <br />DI/22/2020 <br />01/22/2021 <br />EACHOCOURABNCE <br />a 3,000,000 <br />eXCPABUAa <br />CLAIMSAIME <br />AOOREOATE <br />S 3,000,000 <br />am I I RErE)moN& <br />cosoplated o <br />S 3.000 000 <br />B <br />WORXE <br />AND gLMPPLLO a�UAga1�ry y <br />ANY PROPRIETOMPARMENEXECUM 1 <br />OFFWEAMEMBER EXCLUDED? M <br />(aptnra�teryDlNH) <br />0 aaCRJF1IOON OF OF OPE webs <br />NIA <br />PLA00295003 <br />12/29/2019 <br />22/25/202 <br />BN. <br />X nt:IBM ER <br />EL EACH ACCAENT <br />S 11000,000 <br />ELMEA9E-EAEMPLO <br />S 1.000,000 <br />ELCISME-POLICYLBIN <br />a 11000,000 <br />A <br />Liaitad Pollution East. <br />PK202000009533 <br />Dl/22/202001/22/203101,000 <br />BI/PD Per S 1.000.000 <br />Dacurence(oce.rorm) <br />A <br />Trenait Pollution Rodt. <br />PE202000009S23 <br />01/22/202002/22/2022 <br />$1, 000 SI/PD Pat $ 1.000.000 <br />OCCareACe (Dec. Pond <br />DBDOR"CNCPCPEAATMOILOCATIMIVETOCLIO Wweh ACORD tO1,Adtlablul ReanlO SaMdulAtlnNRP rPlwbnpurM) <br />The City of Bents Ana, Stink Nanaganant, it's otticere, employees, agents, repreaontaeivea. and <br />volunteers are named an additional insured as respect to General Liability per the attached <br />tom(a)only when roqulred by written contract. <br />4HC Naives at Bubrogatisn applies <br />Thirty(30)Deya Cuncellatioa Notice applies. TOO(10)Dayn Cancellation it cencollGq,tgEVMt& A'JPROVEL,) <br />By Risk M NAq M DIVISION <br />City Of Santa Ana <br />Rick Hanagamant Division <br />20 Civic Center Plana, 4th P1. <br />Beata Asa CA 92702 <br />SHOULD ANY OF THE ABOVE 0909K BEO`POLk1E8 EE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUUTTTHHORRMOO REPRESMATAM <br />4` A'�j <br />ACORD 25 (2070105) The ACORD name and logo are registered marks of ACORD <br />e <br />n.— • ..o . <br />